Dr Nikolai Klebanov, MD in Beverly, MA

Dr Nikolai Klebanov, MD is a medicare enrolled "Dermatology" physician in Beverly, Massachusetts. His current practice location is 900 Cummings Ctr Ste 311t, Beverly, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 225-3376.

Dr Nikolai Klebanov is licensed to practice in Massachusetts (license number 1014901) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386202158.

Contact Information

	Dr Nikolai Klebanov, MD
	900 Cummings Ctr Ste 311t, Beverly, MA 01915-6260
	(978) 225-3376
	(978) 560-1245

Map and Direction

Physician's Profile

Full Name	Dr Nikolai Klebanov
Gender	Male
Speciality	Dermatology
Location	900 Cummings Ctr Ste 311t, Beverly, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386202158
Provider Enumeration Date: 06/05/2019
Last Update Date: 06/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1557693710
Enrollment ID: I20230710002250

Medical Identifiers

Medical identifiers for Dr Nikolai Klebanov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386202158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	1014901 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nikolai Klebanov allows following entities to bill medicare on his behalf.

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097

Entity Name	Lahey Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269

Entity Name	Massachusetts Dermatology Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396167763 PECOS PAC ID: 4284864331 Enrollment ID: O20140311001042

Entity Name	Beth Israel Lahey Health Primary Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568292423 PECOS PAC ID: 7719291434 Enrollment ID: O20160517000441

Entity Name	Massderm Billing Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033655667 PECOS PAC ID: 2062837503 Enrollment ID: O20200731000650

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nikolai Klebanov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Nikolai Klebanov, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000	Dr Nikolai Klebanov, MD 900 Cummings Ctr Ste 311t, Beverly, MA 01915-6260 Ph: (978) 225-3376

Reviews and Comments

Dermatology Doctors in Beverly, MA

Lilit Garibyan, M.D, PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 900 Cummings Ctr Ste 311t, Beverly, MA 01915 Phone: 978-225-3376 Fax: 978-560-1245
Jessica Awerman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 900 Cummings Ctr Ste 311t, Beverly, MA 01915 Phone: 978-225-3376 Fax: 978-560-1245
Dr. David S Greenstein, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 138 Conant St, 1st Fl, Beverly, MA 01915 Phone: 978-927-5254 Fax: 978-927-5174
Dr. Adriane Ann Levin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 900 Cummings Ctr Ste 311t, Beverly, MA 01915 Phone: 978-225-3376
Margaret Dennin Bruns, MD Dermatology Medicare: Medicare Enrolled Practice Location: 900 Cummings Ctr Ste 311t, Beverly, MA 01915 Phone: 978-225-3376
Sabina Bis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 900 Cummings Ctr Ste 311t, Beverly, MA 01915 Phone: 978-225-3376

Dr Nikolai Klebanov, MD - Medicare Dermatology in Beverly, MA